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Each year, the Health Care Authority (HCA) asks health plans (also called payers) about their participation in and experience with value-based purchasing (VBP).
VBP is a strategy we use to improve the quality and value of health care services paid for by the state. VBP helps hold health plans and health care providers accountable for providing high-quality, high-value care and a satisfying patient experience.
Paying for Value survey
All payers in Washington are invited to participate in this survey each year*. Payers include Public and School Employees Benefits Boards (PEBB and SEBB) carriers, Apple Health (Medicaid) managed care organizations (MCOs), commercial plans, and Medicare Advantage plans.
We use survey responses to track VBP adoption and progress toward HCA’s VBP goal. Responses also help us assess our current VBP efforts and improve them in the future.
Washington State’s goal was to shift 90 percent of state-financed health care payments into VBP contracts by the end of 2021.
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HCA received responses from 12 payers, including five MCOs, five PEBB/SEBB carriers, and two commercial health plans. These organizations reported information from calendar year 2021. Survey results span a range of VBP topics, including:
In 2021, 83 percent of state-financed health care flowed through VBP arrangements. This represents steady year over-year improvement despite the disruptions from COVID-19.
Figure 1: State-financed health care by APM category over time
 This bar chart shows the percentage of state-financed health care (Medicaid managed care and PEBB and SEBB) over 2018, 2019, 2020, and 2021. There are four bars for Medicaid managed care and four bars for PEBB and SEBB together. Each bar has percentages of APM Categories 2C, 3A, 3B, 4A/4B/4C, and non-VBP that add up to 100%.
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